This case study focuses on a 21-year-old male, Scott, presenting with disturbed mental health, including psychosocial isolation, delusions, and suicidal ideation. The essay details his presenting issues, such as family history of mental illness, occupational stress, and lack of eating, all contributing to his behavioral and emotional dysregulation. It examines risk factors, including suicidal and homicidal tendencies, and potential for somatic illness, necessitating interventions to manage delusion, weight loss, and suicidal ideation. The assessment highlights the need for therapeutic relationships, cognitive behavioral interventions, and family involvement to mitigate risks and improve the patient's mental stability, adhering to the Mental Health Act for involuntary treatment and safeguarding patient rights.